| NPI | 1932470846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61105202) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN004627) |
| 133V00000X Dietitian, Registered (Licence: MD DX3531) | |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2023-02-02 |